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Organization

DELAWARE VALLEY COMMUNITY HEALTH, INC.

Active
Parent organization
DELAWARE VALLEY COMMUNITY HEALTH, INC.
Other names
Fairmount Primary Care Center at St. Joseph's Hospital
Organization subpart
Yes

Provider details

NPI number
Legal business name
DELAWARE VALLEY COMMUNITY HEALTH, INC.
Authorized official
MS. PATRICIA DEITCH (PRESIDENT & CHIEF EXECUTIVE OFFICER)
(215) 235-9600
Entity
Organization

Contact information

Practice address
1600 W GIRARD AVE, SUITE 201, PHILADELPHIA, PA 19130-1615
(215) 827-8010
(215) 765-2191
Mailing address
1412 FAIRMOUNT AVE, PHILADELPHIA, PA 19130-2908
(215) 599-4851
(215) 232-4093

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Enumeration date
02/10/2011
Last updated
06/07/2011
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